| Doctor Name: | DR. LARRY HALE PITTMAN |
| NPI Number: | 1003014077 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | 257 |
| Business Practice Address: | 3300 Chandler Rd Suite 105 Muskogee, OK - 744034957 |
| Business Phone Number: | 9186813333 |
| Business Fax Number: | |
| Mailing Address: | Po Box 2348, EDMOND |
| State: | OK |
| Postal Code: | 730832348 |
| Phone Number: | 9186162386 |
| Fax Number: | |
| NPI Enumeration Date: | 07/11/2007 |
| NPI Last Update Date: | 10/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 257 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |